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National estimates of the impact of electronic health records on the workload of primary care physicians

Overview of attention for article published in BMC Health Services Research, May 2016
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Title
National estimates of the impact of electronic health records on the workload of primary care physicians
Published in
BMC Health Services Research, May 2016
DOI 10.1186/s12913-016-1422-6
Pubmed ID
Authors

Jaeyong Bae, William E. Encinosa

Abstract

Eighty-four thousand primary care physicians have received $1.3 billion in HITECH payments for EHR adoption. However, little is known about how this will impact primary care workload efficiency and the national primary care shortage. This study examines whether EHR is associated with increases in face time with the patient per visit and increases in the physician's patient volume per week. We used a nationally representative sample of 37,962 patient visits to 1470 primary care physicians during the pre-HITECH years 2006-2009 from the restricted-access version of the National Ambulatory Medical Care Survey. Quantile regressions were used to estimate the effects of EHR use on patient face time per visit and physician's patient volume per week at different points of the time and volume distributions. Primary care physicians with EHR spend an extra 1.3 face time minutes per visit, or 1.5 extra hours per week. This is 34,000 extra hours of face time per week in the U.S. However, physician age matters. Among young physicians, EHR use is associated with a decline in weekly patient volume, while EHR use among older physicians is associated with an increase in volume, regardless of initial practice size. If younger physicians behaved like older physicians when adopting EHR, there would be 37,600 additional patient visits per week in the U.S., the equivalent of adding 500 more primary care physicians to the U.S. workforce. EHR can enhance productivity/efficiency in primary care physician workloads.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 93 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 93 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 14 15%
Researcher 11 12%
Student > Ph. D. Student 7 8%
Student > Doctoral Student 7 8%
Other 6 6%
Other 23 25%
Unknown 25 27%
Readers by discipline Count As %
Medicine and Dentistry 29 31%
Nursing and Health Professions 7 8%
Engineering 4 4%
Business, Management and Accounting 4 4%
Psychology 4 4%
Other 17 18%
Unknown 28 30%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 26 May 2016.
All research outputs
#14,261,557
of 22,869,263 outputs
Outputs from BMC Health Services Research
#5,079
of 7,648 outputs
Outputs of similar age
#164,398
of 304,990 outputs
Outputs of similar age from BMC Health Services Research
#50
of 77 outputs
Altmetric has tracked 22,869,263 research outputs across all sources so far. This one is in the 35th percentile – i.e., 35% of other outputs scored the same or lower than it.
So far Altmetric has tracked 7,648 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 7.7. This one is in the 30th percentile – i.e., 30% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 304,990 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 43rd percentile – i.e., 43% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 77 others from the same source and published within six weeks on either side of this one. This one is in the 31st percentile – i.e., 31% of its contemporaries scored the same or lower than it.